TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER f: EMERGENCY SERVICES AND HIGHWAY SAFETY
PART 518 FREESTANDING EMERGENCY CENTER DEMONSTRATION PROGRAM CODE
SECTION 518.1000 DEFINITIONS


 

Section 518.1000  Definitions

 

For the purposes of this Part:

 

            Act – the Emergency Medical Services (EMS) Systems Act [210 ILCS 50].

 

            Allied Health Personnel – persons other than medical staff members, licensed or registered by the State of Illinois or recognized by an organization acceptable to the Department and recognized to so function by the medical staff and the governing authority of the freestanding emergency center.

 

            Ambulance – any publicly or privately owned vehicle that is specifically designed, constructed or modified and equipped for, and is intended to be used for, and is maintained or operated for, the emergency transportation of persons who are sick, injured, wounded or otherwise incapacitated or helpless, or the non-emergency medical transportation of persons who require the presence of medical personnel to monitor the individual's condition or medical apparatus being used on such an individual.  (Section 3.85 of the Act)

 

            Ambulance Service Provider or Ambulance Provider – any individual, group of individuals, corporation, partnership, association, trust, joint venture, unit of local government or other public or private ownership entity that owns and operates a business or service using one or more ambulances or EMS vehicles for the transportation of emergency patients.

 

            Associate Hospital – a hospital participating in an approved EMS System in accordance with the EMS System Program Plan; fulfilling the same clinical and communications requirements as the Resource Hospital; having a basic or comprehensive emergency department with 24-hour physician coverage; and having a functioning intensive care unit and/or a cardiac care unit.

 

            Basic Life Support (BLS) Services – a basic level of pre-hospital and inter-hospital emergency care and non-emergency medical care that includes airway management, Cardiopulmonary Resuscitation (CPR), control of shock and bleeding and splinting of fractures, as outlined in a basic life support national curriculum of the United States Department of Transportation and any modifications to that curriculum specified in the Emergency Medical Services and Trauma Center Code (77 Ill. Adm. Code 515).  (Section 3.10 of the Act)

 

            Comprehensive Emergency Treatment Services – emergency treatment services provided in accordance with Section 518.2020 of this Part.

 

            Department – the Illinois Department of Public Health.  (Section 3.5 of the Act)

 

            Director – the Director of the Illinois Department of Public Health or his/her designee.  (Section 3.5 of the Act)

 

            Drugs – the term "drugs" means and includes:

 

-           articles recognized in the official United States Pharmacopoeia, official National Formulary, or any supplement to either of them and being intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals;

 

-           articles recognized in the Illinois Formulary for the Drug Product Selection Program (77 Ill. Adm. Code 790);

 

-           all other articles intended for and having for their main use the diagnosis, cure, mitigation, treatment or prevention of disease in man or other animals;

 

-           articles (other than food) having for their main use to affect the structure or any function of the body of man or other animals, and intended to affect the structure or any function of the body of man or other animals; and

 

-           articles having for their main use and intended for use as a component of any articles specified above, but does not include devices or their components, parts or accessories.

 

            Emergency – a medical condition of recent onset and severity that would lead a prudent lay person, possessing an average knowledge of medicine and health, to believe that urgent or unscheduled medical care is required.  (Section 3.5 of the Act)

 

            Emergency Medical Services (EMS) System or System – an organization of hospitals, vehicle service providers and personnel approved by the Department in a specific geographic area, which coordinates and provides pre-hospital and inter-hospital emergency care and non-emergency medical transports at a BLS, ILS and/or ALS level pursuant to a System program plan submitted to and approved by the Department and pursuant to the EMS Regional Plan adopted for the EMS Region in which the system is located.  (Section 3.20 of the Act)

 

            EMS System Program Plan – the document approved by the Department pursuant to 77 Ill. Adm. Code 515 that describes the EMS System program and directs the program's operation.

 

            Freestanding Emergency Center (FEC) – a facility that provides comprehensive emergency treatment services 24 hours per day, on an outpatient basis and has been issued a license by the Illinois Department of Public Health to participate in the Freestanding Emergency Center Demonstration Program.  (Section 32.5 of the Act)

 

            Medical Staff – an organized body composed of the following individuals granted the privilege by the governing authority of the FEC to practice in the FEC:  persons who are graduates of a college or school approved or recognized by the Illinois Department of Professional Regulation, and who are currently licensed by the Department of Professional Regulation to practice medicine in all its branches; practice dental surgery; or practice podiatric medicine in Illinois, regardless of the title of the degree awarded by the approving college or school.

 

            Medicines – drugs or chemicals or preparations thereof in suitable form intended for and having for their main use the prevention, treatment, relief, or cure of diseases when used either internally or externally.

 

            Morbidity – a negative outcome that is the result of the original trauma and/or treatment rendered or omitted.

 

            Nurse – a registered nurse or licensed practical nurse as defined in the Illinois Nursing Act of 1987 [225 ILCS 65].

 

            Nursing Staff – registered nurses, licensed practical nurses, nursing aides, orderlies, and others rendering patient care under the supervision of a registered professional nurse.

 

            Owning or Controlling Hospital – the Associate or Resource hospital that wholly owns or controls a freestanding emergency center.

 

            Participating Hospital – a hospital participating in an approved EMS System in accordance with the EMS System Program Plan, which is not a Resource Hospital or an Associate Hospital.

 

            Pharmacist – a person who holds a certificate of registration as a registered pharmacist under the Pharmacy Practice Act of 1987 [225 ILCS 85].

 

            Pharmacy – the term "Practice of Pharmacy" includes, but is not limited to:

 

            the soliciting of prescriptions;

 

            the compounding of prescriptions;

 

            the dispensing of any drug or medicine on a prescription;

 

            the transfer of any drug or medicine from one container into another container that is to be delivered to or for the ultimate patient, on a prescription, or to or for the ultimate consumer, without a prescription; and

 

            the placing of directions for use or other required labeling information on a container of any drug or medicine that is to be delivered to or for the ultimate consumer, without a prescription.

 

            The term "pharmacy" or "a drug store" as referred to in Section 3 of the Pharmacy Practice Act of 1987 means and includes that area licensed by the Department of Professional Regulation in which the practice of pharmacy is conducted.  Any room or designated area where drugs and medicines are dispensed (including the repackaging for distribution) shall be considered to be a pharmacy and be licensed by the Department of Professional Regulation.

 

            Physician – any person licensed to practice medicine in all of its branches under the Medical Practice Act of 1987 [225 ILCS 90].

 

            Pre-Hospital Care – those emergency medical services rendered to emergency patients for analytic, resuscitative, stabilizing, or preventive purposes, precedent to and during transportation of such patients to hospitals.  (Section 3.10 of the Act)

 

            Pre-Hospital Care Provider – an EMS System Participant or any EMT-B, I, P, Ambulance, Ambulance Provider, EMS Vehicle, Associate Hospital, Participating Hospital, EMS System Coordinator, Associate Hospital EMS Coordinator, Associate Hospital EMS Medical Director, Emergency Communications Registered Nurse (ECRN) or physician serving on an ambulance or giving voice orders over an EMS System.

 

            Registered Nurse and Registered Professional Nurse or RN – a person who is licensed as a professional nurse under the Illinois Nursing Act of 1987 [225 ILCS 65].

 

            Resource Hospital – the hospital with the authority and the responsibility for an EMS System as outlined in the Department-approved EMS System Program Plan.

 

            Social Worker – a person who is a licensed social worker or a licensed clinical social worker under the Clinical Social Work and Social Work Practice Act [225 ILCS 20].

 

            Substantial Compliance – meeting requirements except for variance from the strict and literal performance that results in unimportant omissions or defects given the particular circumstances involved.